1722 County Line RdDavie County, NC + Tax Parcel Report 'A'01 -1 A Tuesday, September 27, 2016
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l data is provided as is without warranty or guarantee of any kind either expressed or implied including but not limited to the
Davie County, NCimplied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold
harmless the County of Davie, North Carolina, its agents, consultants, contractors or employees from any and all claims or
causes of action due to or arising out of the use or inability to use the GIS data provided by this website.
WARNING: THIS IS NOTA SURVEY
.
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Parcel Number:
F100000038
Township:
Calahaln
NCPIN Number:
5800089090
Municipality:
Account Number:
82529773
Census Tract:
37059-801
Listed Owner 1:
ALLEN TERRY DALE
Voting Precinct:
NORTH CALAHALN
Mailing Address 1:
398 SALMONS ROAD
Planning Jurisdiction:
Davie County
City:
MOCKSVILLE
Zoning Class:
DAVIE COUNTY R -A
State:
NC
Zoning Overlay:
Zip Code:
27028-0000
Voluntary Ag. District:
No
Legal Description:
I'
1.92 AC COUNTY LINE RD
Fire Response District:
SHEFFIELD - CALAHALN
Assessed Acreage:
1.72
Elementary School Zone:
WILLIAM R DAVIE
Deed Date:
2/2007
Middle School Zone:
NORTH DAVIE
Deed Book fPage:
2007EO079
Soil Types:
CeB2
Plat Book:
Flood Zone:
X
Plat Page:
Watershed Overlay:
WS -III -BW
Building Value:
74320.00
Outbuilding & Extra
0.00
Freatures Value:
Land Value:
23790.00
Total Market Value:
98110.00
Total Assessed Value:
98110.00
101
l data is provided as is without warranty or guarantee of any kind either expressed or implied including but not limited to the
Davie County, NCimplied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold
harmless the County of Davie, North Carolina, its agents, consultants, contractors or employees from any and all claims or
causes of action due to or arising out of the use or inability to use the GIS data provided by this website.
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.Af 7--wqRIZATION NO; 2 Q `� 9.4 DAVIE. COUNTY. HEALTH DEPARTMENT Zo
:Environmental Health Section PROPERTY INFORMATION
Pertnittee's - . P.O. Box 848 .
Name: �`I( /i/!•�''`�/���`. .,+, Mocksville, NC 27028 Subdivision Name:
J-7�.� r --, t Phone # 336-751=8760•
Directions to property (''✓Gf Section: Lot:
r --✓ AUTHORIZATION FOR
WASTEWATER - .
/ Office Tax OPIN:#
SYSTEM CONSTRUCTION -T—;
• �; �` %�'' � �. �:1 i, �i'-'�:'1 � /r'1/� iQ. jh,q� Road Name: Zip:
**NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior
to issuance of any Building-Permits.,This Form/Authonzation Number should be presented to the Davie County Building Inspections
Office when applying for Building Permits.
(Incompliance' with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section. 1900 Sewage Treatment and Disposal Systems).
***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
i p`� IS.VALID FOR A PERIOD OF FIVE YEARS:
E&VIR NMENTAL HEALTH SPECIALIST DATE ISSUED
'7 t"' +,:.:� :ri..�..�4 Y'<, •+'''11.Y .:8 'h' e P•• 4d a �.w �'j' M �,'dk,t di ♦'`�+ '•'�r F t i.;.., .... ;. -• .-.v F .�..Yt 'w
d
,4o DAVIE COUNTY HEALTH EPA"It�T 'ENT
1:4 IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
Name: �. J� / / j f f r.,
( '� �;%� . ✓'`` �.,•,. , .Subdivision;Name.
Directions to property Section: Lot:
IIMPROVEMENT • �,..
PERMIT"'Tax Office PIN:# -
Road Name
**NOTE** This Improvement Permit DOES NOT authorize the construction or, installation of a septic tank system or any wastewater system. An
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained f x)m this: Department prior to the
constiuction/mstallation of a system or the issuance of a building permit.
(In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
***NOTICE*** THIS PERMIT IS SUBJECT` TO REVOCATION IF SITE
r', r +;' ' , =;'• i^ ,l PLANS OR THE TENDED USE CHANGE. FOUR WASTEWATER
IN
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS. PERMIT BEFORE
-INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE #BEDROOMS `ice #BATHS .� #OCCUPANTS _� GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE
%/ r�
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. , TRENCH WIDTH - 1 ROCK DEPTH LINEAR FT.
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONSr
IMPROVEMENT PERMIT LAYOUT*APPROVED EFFLUENT FILT R* *RISER(S) IF 6%�. BELOW FINISHED GRADE -
"CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM
BETWEEN 8:30 - 9:30 A.M. OR 1:00 - 1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS "YAS &Y'9tlx
(336)751-8760
OPERATION PERMIT
SYS M INSTALLED BY:
h )�rV
"
AUTHORIZATION NO. fib/ %PE RATION PERMIT BY: DATE:
"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE 11 OF G.S. CHAPTER 130A, SECTION .1900 "SEWAGE TREATMENT AND DISPOSAL SYSTEMS", BUT SHALL IN NO WAY BE TAKEN AS A
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD 05/96 (Revised)
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
• APPLICATION FOR IMPROVEMENT PERMIT (REPAIR)
NAME -� -e n ✓� � \Wive,) PHONE NUMBER
ADDRESS--4qSUBDIVISION NAME
h LOT #
DIRECTIONS TO SITE
DATE SYSTEM INSTALLED NAME SYSTEM INSTALLED UNDER
TYPE FACILITY NUMBER BEDROOMS NUMBER PEOPLE SERVED
TYPE WATER SUPPLY SPECIFY PROBLEM OCCURRING
DATE REQUESTED INFORMATION TAKEN BY
This is to certify that the information provided is correct to the best of my knowledge, and that I understand I am responsible for all charges incurred from this application.
SIGNATURE OF OWNER OR AUTHORIZED AGENT
Rev. 1 f93